Title Page

  • Document No.

  • Client / Site

  • Conducted on

  • Person conducting audit

  • Name of person completing audit

  • Property Location

Power Pole Identified

  • Pole Identified

  • Pole Details
  • Material

  • Pole ID Number

  • Location details

  • Actual GPS Coordinates
  • Add Photo of Pole ID Number

  • Condition of Pole<br>- take a more detailed photo of the defect if replacement is required


  • Signature of auditor

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